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Treatment in Clifton, NJ

Erectile Dysfunction

Restore Sexual Function & Confidence

Introduction to Erectile Dysfunction

Erectile dysfunction (ED) is a common condition that can make it difficult to achieve or maintain an erection. If these changes become a concern, an evaluation can provide more information about your erectile health and available treatment options.

At East Coast Advanced Urology in Clifton, NJ, Dr. Karl Coutinho evaluates and treats erectile dysfunction using an individualized approach. He welcomes patients from throughout the greater New York metropolitan area and develops treatment plans based on each patient’s symptoms, health, previous treatment, and needs.

Professional headshot of smiling middle-aged man with beard wearing blue shirt outdoors with green background - Erectile dysfunction in Clifton, NJ

What is Erectile Dysfunction?

Erectile dysfunction refers to ongoing difficulty achieving or maintaining an erection sufficient for sexual activity. Erections involve several body systems, including blood vessels, nerves, hormones, and psychological factors. Changes involving one or more of these areas can contribute to ED.

Several factors can play a role in erectile dysfunction. Your medical history, previous treatments, medications, and other aspects of your health will be considered during your evaluation with Dr. Coutinho. Blood pressure, testosterone levels, metabolic health, smoking history, and cardiovascular risk may be important parts of the discussion.

An evaluation can help identify possible causes and determine which treatment options may be appropriate for your individual situation. An evaluation of penile blood flow via an in-office ultrasound (Penile Doppler study) can be useful to distinguish between various types of erectile dysfunction and aid in deciding treatment options.

How Is Erectile Dysfunction Treated

Treatment for erectile dysfunction is selected according to the possible cause of your symptoms, your overall health, previous treatment, and individual preferences. Dr. Coutinho will begin with an evaluation and discuss which options may be appropriate for you.

Depending on your needs, treatment may involve lifestyle and cardiovascular risk-factor modification, oral PDE5 inhibitor medications, vacuum erection devices, intraurethral or injection therapy, treatment of a documented hormonal abnormality, or surgical treatment with a penile prosthesis.

Inflatable Penile Prosthesis

An inflatable penile prosthesis is a surgically implanted device that may be considered for men whose erectile dysfunction has not responded adequately to other treatments or who prefer a surgical option. These devices come in 2- and 3-piece varieties, and use a completely internal system that allows for erections without pills or injections. The device is hidden entirely inside the body with no external parts.

The device is placed inside the body and can be inflated when an erection is desired and deflated afterward. Dr. Coutinho is experienced in penile prosthetic surgery, with reconstructive and prosthetic training relevant to complex implant placement. He can explain how the implant works, what surgery involves, and whether this treatment may be appropriate based on your condition and previous care.

During your consultation, Dr. Coutinho will review the available operative approaches and develop a treatment plan based on your individual needs.

Related Men’s Health and Urologic Care

Erectile dysfunction can occur alongside other urinary or men’s health concerns. During your evaluation, you can discuss these symptoms with Dr. Coutinho so he can determine whether separate testing or treatment may be appropriate.

Some men with erectile dysfunction also experience urinary incontinence, including after certain prostate procedures. An artificial urinary sphincter is a surgically implanted device used to treat certain forms of male urinary incontinence. Dr. Coutinho can evaluate urinary leakage separately and discuss whether treatment is appropriate.

Who Are the Best Candidates for Erectile Dysfunction Treatment?

Men experiencing ongoing changes in erectile function may benefit from an evaluation with Dr. Coutinho. Determining the appropriate treatment begins with understanding the possible cause of the problem and any health factors that may be contributing.

Patients seeking evaluation may include men who:

  • Have ongoing difficulty achieving or maintaining an erection
  • Have noticed changes in erectile function following surgery or medical treatment
  • Have medical conditions that may contribute to ED
  • Have not had adequate improvement with previous treatment
  • Want to learn about additional nonsurgical or surgical options

What Are the Benefits of Erectile Dysfunction Treatment?

Erectile dysfunction treatment is tailored to the factors contributing to your symptoms and the treatment you choose. With several available approaches, care can be adjusted based on your health, previous treatment, and preferences.

Potential benefits include:

  • Multiple nonsurgical and surgical treatment options
  • Treatment selected according to the possible cause of ED
  • Options for men who have not responded to previous treatment
  • Surgical treatment when a penile prosthesis is appropriate
  • Ongoing evaluation as treatment needs change
General Urology and Men’s Health-evaluation

Beginning Your Erectile Dysfunction Treatment Evaluation

The first step is a consultation with Dr. Coutinho at East Coast Advanced Urology in Clifton, NJ. Your evaluation will help identify factors that may be contributing to erectile dysfunction and determine which treatment options warrant consideration.

Patients can expect to:

  • Discuss your symptoms and medical history
  • Review current medications and previous treatments
  • Discuss relevant lifestyle and health factors
  • Complete any testing or additional evaluation that may be recommended
  • Review available treatment options
  • Develop an individualized plan with Dr. Coutinho

What to Expect on the Day of Erectile Dysfunction Treatment

What you can expect will depend on the treatment selected. Some erectile dysfunction treatments involve medication or other nonsurgical therapies and do not require a surgical procedure.

If you are undergoing inflatable penile prosthesis surgery, the care team will review your surgical plan before treatment, and anesthesia will be used during the procedure. Dr. Coutinho will place the components of the inflatable device according to the planned surgical approach.

After surgery, you will receive instructions on incision care, medications, activity, follow-up, and when you can use the device. Dr. Coutinho will also explain how to operate the prosthesis as part of your postoperative care.

General Urology and Men’s Health-expect

Erectile Dysfunction Treatment Recovery

Your Guide to Post-Erectile Dysfunction Treatment Care

Recovery and follow-up will depend on the type of erectile dysfunction treatment you receive. Nonsurgical therapies may require little or no physical recovery, although Dr. Coutinho may schedule follow-up care to evaluate your response to treatment.

Surgical treatment with an inflatable penile prosthesis requires a healing period before the device can be used. Dr. Coutinho will provide instructions regarding incision care, medications, activity, and other precautions based on your procedure.

Follow-up visits allow him to monitor your recovery and provide guidance about using the implant when appropriate.

How Much Does Erectile Dysfunction Treatment Cost in New Jersey?

The cost of erectile dysfunction treatment will depend on the type of care you receive. After your evaluation, the office can provide additional information about anticipated costs based on the treatment Dr. Coutinho recommends.

Insurance coverage varies by plan and treatment. Our team can help review your benefits and explain any financial responsibility you may have before treatment. You should always verify your cost and coverage with your specific insurance carrier and plan.

Why Choose Dr. Coutinho?

Dr. Karl Coutinho is a fellowship-trained reconstructive urologist with additional focused training in genitourinary prosthetics and reconstruction through Perito Urology. His approach to erectile dysfunction spans medical therapy, injection treatment, penile Doppler evaluation, and surgical treatment with an inflatable penile prosthesis when appropriate.

His academic work also includes peer-reviewed research on preservation of sexual function after BPH treatment and national presentation of a specialized penile prosthesis technique for complex reconstruction. This combination of diagnostic, medical, reconstructive, and prosthetic experience is particularly valuable for patients with ED after pelvic surgery or those considering an implant.

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Erectile Dysfunction FAQ’S

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Patient Reviews

  • My surgery was life changing and the recovery period was better than I ever expected. I would highly recommend Dr Coutinho , he is the best.

    View Gallery Claude R.

  • I had an outstanding experience with Dr. Coutinho and their entire urology team. They truly go above and beyond.

    View Gallery Jenney S.

  • Dr Karl Coutinho is an excellent doctor in his field. He made me feel whole again after doing two procedures for me.

    View Gallery Keith A.

  • I’ve never met a doctor so empathetic

    I’ve never met a doctor so empathetic, professional and Knowledgeable Dr Coutinho performed a very difficult surgery on me. I had absolutely no pain.

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Patient Reviews

East Coast Advanced Urology

Schedule Your Consultation

If you are experiencing ongoing difficulties with erectile function, schedule a consultation with Dr. Karl Coutinho at East Coast Advanced Urology in Clifton, NJ. Your visit provides an opportunity to discuss your symptoms, undergo an evaluation, and learn about the treatment options that may be appropriate for you.

Dr. Coutinho welcomes patients from throughout the greater New York metropolitan area. Contact East Coast Advanced Urology to schedule your consultation.

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